– 10 year old MN miniature poodle presented for 1 weeks duration of vomting, anorexia
– bloodwork moderate elevations ALP and ALT, high end normel bilrubin and bilirubinuria
– ultrasound consistent with pancreatitis, steatitis and abdominal effusion (pain over the pancreas)
– the GB is distended with an inflammatory region around the neck and effusion in the region – there is pain in this region as well
– to me this looks like a mucocele and am concerned about the possibility of bile peritonitis long with pancreatitis
Surgical case?
– 10 year old MN miniature poodle presented for 1 weeks duration of vomting, anorexia
– bloodwork moderate elevations ALP and ALT, high end normel bilrubin and bilirubinuria
– ultrasound consistent with pancreatitis, steatitis and abdominal effusion (pain over the pancreas)
– the GB is distended with an inflammatory region around the neck and effusion in the region – there is pain in this region as well
– to me this looks like a mucocele and am concerned about the possibility of bile peritonitis long with pancreatitis
Surgical case?
4 responses to “Thoughts on GB”
Inflamed mucocele…
Inflamed mucocele… overdistention and dtriatinbg immobile bile…free fluid and inflammatory pattern (Fuzzy fat) next to a GBM is a surgical emergency. Out with the GB ! 🙂
Perfect! Was sent to surgical
Perfect! Was sent to surgical referral last night : )
Thanks
Was the pancreas OK
Was the pancreas OK
Randy, I may not find out as
Randy, I may not find out as I was called in for an emergency clinic scan and I don’t even know who the regular DVM is – but if I find out I will let you know.